Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. John Patrick Ryan IV, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1275616070

Mr. John Patrick Ryan IV, PHYSICIANASSISTANT is a Physician Assistant in Albany, New York. Graduated from Albany Medical College of Union University in 2002, 24 years ago. Practices with Ellis Hospital, a 252-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

43 New Scotland Ave
Albany, NY 12208-3478
Phone: (518) 262-3494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 So Manning Blvd, Albany, NY 12208 — (518) 525-1550

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 090042 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 090042 (NY)

Record details

NPI number1275616070
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESOctober 2, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2002 (24 years in practice)
Group practice Ellis Hospital — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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